Individual
PIM SUWANNARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5250
(301) 702-5644
Mailing address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5250
(301) 702-5644
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A108298
CA
207SG0202X
Clinical Biochemical Genetics Physician
A108298
CA
Other
Enumeration date
08/28/2007
Last updated
06/07/2021
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